Baffert: Anti-Fungal Meds May Explain Medina Spirit’s Positive

Bob Baffert said in a statement issued Tuesday that Medina Spirit (Protonico) was treated with an anti-fungal ointment prior to his victory in the GI Kentucky Derby, which he believes may explain why the horse tested positive for the medication betamethasone in a post-race test. Baffert said that Medina Spirit had been dealing with a case of dermatitis after finishing second in the GI Runhappy Santa Anita Derby and was treated with the medication as late as Apr. 30, the day before the Kentucky Derby.

With the latest statement, Baffert reversed course after declaring emphatically earlier in the week that the horse had never been treated with betamethasone. The trainer now says that he was not aware until Monday that the ointment in question, called Otomax, contained betamethasone. Betamethasone is clearly listed as an ingredient in Otomax on the box containing the drug.

Otomax, made by the pharmaceutical giant Merck, is commonly used to fight infections in the outer ears of dogs. The word “Betamethasone” appears prominently on the front of the packaging. According to the company, “Otomax is indicated for the treatment of canine acute and chronic otitis externa associated with yeast (Malassezia pachydermatis) and/or bacteria susceptible to gentamicin. Otomax contains gentamicin sulfate, betamethasone valerate and clotrimazole in a mineral oil-based system containing a plasticized hydrocarbon gel.”

“Yesterday, I was informed that one of the substances in Otomax is betamethasone,” Baffert said in his statement. “While we do not know definitively that this was the source of the alleged 21 picograms found in Medina Spirit's post-race blood sample, and our investigation is continuing, I have been told by equine pharmacology experts that this could explain the test results. As such, I wanted to be forthright about this fact as soon as I learned of this information.”

When asked how a veterinarian could have given the horse Otomax so close to a race without knowing it could result in a drug positive, Baffert's attorney Craig Robertson replied, “That's a question you're going to have to ask the veterinarian. I don't want to be quoted as throwing the veterinarian under the bus either. Listen: I don't know the answer to that question. I just don't.”

While the revelation about Otomax may help explain why Medina Spirit failed a drug test, it does not necessarily mean that Medina Spirit's Derby win will be upheld. Betamethasone is a Class C drug that, in Kentucky, cannot be given to a horse within 14 days of it racing. No levels of the medication are allowed to be in a horse's system come race day and the penalties for such an infraction may include the disqualification of the horse, along with fines for the trainer starting at $1,000 and a possible suspension of 15 days.

However, racing commissions have become more lenient in recent years when it involves the sport's traditional “absolute insurer” rules regarding drug positives. Earlier this year, the Arkansas Racing Commission, citing extenuating circumstances, reinstated the Baffert trainee Charlatan (Speightstown) as the winner of a division of the 2020 GI Arkansas Derby and stablemate Gamine as the winner of an Oaklawn Park allowance race despite their having tested positive for lidocaine. Robertson successfully argued that the horses were inadvertently contaminated after coming into contact with Baffert's assistant, Jimmy Barnes, who was wearing a Salonpas patch that contained lidocaine.

“No, I would not say that,” Robertson said when asked if the Otomax development would lead to the disqualification of the horse. “I think there are a lot of factors at play and again, one thing that I am very cautious about at this stage is that there is a whole opportunity for discovery in terms of reviewing documents from the testing labs, and all of that, and so with these cases, what I know tomorrow will be more than more than what I know today, and what I know next month will be more than what I know a week from now. And so to definitively sit her and say, look, if this happens, it's a disqualification and if this happens, then it's not, that wouldn't be fair because there are going to be a lot of facts and information yet to be learned out there.

Tuesday's announcement came just two days after Baffert revealed that the Kentucky Racing Commission informed his team that Medina Spirit tested positive for 21 picograms per millileter of blood of the drug. The positive finding will not become official until after a second, or split, sample has been tested by another lab. Baffert said Sunday that he was launching his own investigation into the circumstances of the positive.

“On May 8, 2021, I was informed by the Kentucky Horse Racing Commission that Medina Spirit allegedly tested positive for 21 picograms of betamethasone,” Baffert said in the statement. “On May 9, 2021, I held a press conference in which I stated that I intended to thoroughly investigate how this could have happened and that I would be completely transparent throughout the process. I immediately began that investigation, which has resulted in me learning of a possible source for the betamethasone, and now, as promised, I want to be forthright about what I have learned.

“Following the Santa Anita Derby, Medina Spirit developed dermatitis on his hind end. I had him checked out by my veterinarian who recommended the use of an anti-fungal ointment called Otomax,” the statement continued. “The veterinary recommendation was to apply this ointment daily to give the horse relief, help heal the dermatitis, and prevent it from spreading. My barn followed this recommendation and Medina Spirit was treated with Otomax once a day up until the day before the Kentucky Derby.”

Speaking to the TDN's Dan Ross, Mary Scollay, executive director and chief operating officer of the Racing Medication and Testing Consortium (RMTC), called the scenario Baffert described as “plausible.” (See story below)

Baffert again expressed his belief that no matter how the substance may have shown up in Medina Spirit, this was not an attempt to cheat or get an illegal edge. “This has never been a case of attempting to game the system or get an unfair advantage,” he said. He also reiterated his belief that the sport must address a situation where tests are so precise that they can find tiny amounts of therapeutic drugs and drugs that got into a horse's system as a result of environmental contamination. “Horse racing must address its regulatory problem when it comes to substances which can innocuously find their way into a horse's system at the picogram (which is a trillionth of a gram) level.”

Medina Spirit's owner Amr Zedan, released his own statement Tuesday in which he again stood behind his embattled trainer.

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Baffert: Anti-Fungal Ointment Could Be Source Of Betamethasone Positive In Medina Spirit

Trainer Bob Baffert released the following statement via his attorney, Craig Robinson, on Tuesday:

On May 8, 2021, I was informed by the Kentucky Horse Racing Commission that Medina Spirit allegedly tested positive for 21 picograms of betamethasone. On May 9, 2021, I held a press conference in which I stated that I intended to thoroughly investigate how this could have happened and that I would be completely transparent throughout the process. I immediately began that investigation, which has resulted in me learning of a possible source for the betamethasone, and now, as promised, I want to be forthright about what I have learned.

Following the Santa Anita Derby, Medina Spirit developed dermatitis on his hind end. I had him checked out by my veterinarian who recommended the use of an anti-fungal ointment called Otomax. The veterinary recommendation was to apply this ointment daily to give the horse relief, help heal the dermatitis, and prevent it from spreading. My barn followed this recommendation and Medina Spirit was treated with Otomax once a day up until the day before the Kentucky Derby. Yesterday, I was informed that one of the substances in Otomax is betamethasone.

While we do not know definitively that this was the source of the alleged 21 picograms found in Medina Spirit's post-race blood sample, and our investigation is continuing, I have been told by equine pharmacology experts that this could explain the test results. As such, I wanted to be forthright about this fact as soon as I learned of this information.

As I have stated, my investigation is continuing and we do not know for sure if this ointment was the cause of the test results, or if the test results are even accurate, as they have yet to be confirmed by the split sample. However, again, I have been told that a finding of a small amount, such as 21 picograms, could be consistent with application of this type of ointment. I intend to continue to investigate and I will continue to be transparent.

In the meantime, I want to reiterate two points I made when this matter initially came to light. First, I had no knowledge of how betamethasone could have possibly found its way into Medina Spirit (until now) and this has never been a case of attempting to game the system or get an unfair advantage. Second, horse racing must address its regulatory problem when it comes to substances which can innocuously find their way into a horse's system at the picogram (which is a trillionth of a gram) level. Medina Spirit earned his Kentucky Derby win and my pharmacologists have told me that 21 picograms of betamethasone would have had no effect on the outcome of the race. Medina Spirit is a deserved champion and I will continue to fight for him.

Trainer Bob Baffert provided this photograph, indicating the subject is Medina Spirit and the dermatitis on his hind end following the Santa Anita Derby

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Medina Spirit Drops To Fourth In NTRA Top 3-Year-Old Poll

Following the report of a failed drug test by race winner Medina Spirit after the Grade 1 Kentucky Derby presented by Woodford Reserve at Churchill Downs on May 1, there has been a shake up in the top five positions in the latest National Thoroughbred Racing Association (NTRA) Top Three-Year-Old Thoroughbred Poll. Juddmonte's Mandaloun, runner-up to Medina Spirit by a half-length in the Derby, has risen to No. 1 in the poll, with Zedan Racing's Medina Spirit dropping to No. 4.

Trained by Brad Cox, Mandaloun, who was third in last week's poll, received six first-place votes and 277 points. Mandaloun's stablemate, Godolphin's Essential Quality, who finished fourth in the Derby as the 5-2 favorite and is also trained by Cox, remains in second place with eight first-place votes and 275 points. Roadrunner Racing, Boat Racing, Strauss Bros Racing and Gainesway Thoroughbreds' Hot Rod Charlie, third in the Derby, moves up one place to third. Trained by Doug O'Neill, Hot Rod Charlie has 250 points. Medina Spirit, trained by Bob Baffert, is next with 18 first-place votes and 215 points. Shadwell Stable's undefeated bay filly, Malathaat, winner of the Grade 1 Longines Kentucky Oaks, stays in fifth place with one first-place vote and 184 points for trainer Todd Pletcher.

Gary and Mary West's homebred, Concert Tour, winner of the Grade 2 Rebel Stakes at Oaklawn, holds onto sixth place. Also trained by Baffert, Concert Tour has 99 points. Two Steve Asmussen-trained horses are next. Winchell Thoroughbreds' Midnight Bourbon, who finished sixth in the Derby, has 80 points and moves from 10th to seventh place in this week's poll. Kirk and Judy Robison's Jackie's Warrior, who captured Churchill's Grade 2 Pat Day Mile presented by LG&E and KU, is in an eighth-place tie with Hronis Racing and Talla Racing's Rock Your World, winner of the Grade 1 Runhappy Santa Anita Derby. Both Jackie's Warrior and Rock Your World, the latter trained by John Sadler, have 77 points. WinStar Farm and CHC's Life Is Good, off the Triple Crown trail due to injury, drops from seventh to 10th place, registering one first-place vote and 74 points.

Godolphin's 4-year-old Mystic Guide, winner of the Group 1 Dubai World Cup, retains the top position in this week's National Thoroughbred Poll. Trained by Mike Stidham, Mystic Guide received 27 first-place votes and 310 points. The Baffert-trained 4-year-old Charlatan, runner-up in the Group 1 Saudi Cup, is in second place with five first-place votes and 250 points. Two Cox-trained runners have switched positions this week. Korea Racing Authority's Grade 1 Pegasus World Cup winner Knicks Go rises from fifth to third place with one first-place vote and 187 points, while Monomoy Girl, the reigning older dirt female Eclipse Award-winner, is now in fifth place. Monomoy Girl, owned by My Racehorse, Spendthrift Farm LLC and Madaket Stables, has 181 points. Sandwiched in between Knicks Go and Monomoy Girl, in fourth place, is Robert and Lawana Low's 4-year-old Colonel Liam (184 points), who finished in a dead heat for first with Domestic Spending in the Grade 1 Old Forester Bourbon Turf Classic Stakes at Churchill Downs.

The next five positions in the poll remain unchanged. Michael Lund Peterson's Eclipse Award-winning female sprinter Gamine (138 points) is in sixth place. St. George Stable's 5-year-old mare Letruska (132 points), winner of Oaklawn's Grade 1 Grade Apple Blossom, is in seventh place. Godolphin's 4-year-old Maxfield, trained by Brendan Walsh, is in eighth place with one first-place vote and 116 points. The Cox-trained 4-year-old filly Shedaresthedevil (84 points) is in ninth place. Completing the Top 10 is Klaravich Stable's 4-year-old Domestic Spending (51 points), for trainer Chad Brown.

The NTRA Top Thoroughbred polls are the sport's most comprehensive surveys of experts. Every week eligible journalists and broadcasters cast votes for their top 10 horses, with points awarded on a 10-9-8-7-6-5-4-3-2-1 basis. All horses that have raced in the U.S., are in training in the U.S., or are known to be pointing to a major event in the U.S. are eligible for the NTRA Top Thoroughbred Poll. Voting in the Top Three-Year-Old Thoroughbred Poll concludes following the Belmont Stakes on June 5 and the Top Thoroughbred Poll is scheduled to be conducted through Nov. 6.

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Irwin: Medina Spirit Positive Test A Shot Heard ‘Round The World

What's the deal with Bob Baffert and his rash of positives over the past year or so, during which time he has run afoul of the rules on five occasions?

Is Bob just unlucky? Is he running a sloppy shop? Are his vets dropping the ball on his behalf? Are the racetracks, racing regulators or racing associations somehow out to get him? Is he a victim of some sort of foul play?

Or, as the subject himself said after he announced over the weekend that his Kentucky Derby winner has tested positive for betamethasone (now where have we heard the name of that drug before, hmmm?), “…there's definitely something wrong. Why is it happening to me?”

Although lacking first-hand knowledge, experienced horsemen and vets with whom I have spoken ever since the betamethasone overage was revealed, to a man believe that the positive finding is a result of Baffert's Derby winner being injected in a joint (ankle or hock) too close to Kentucky Derby Day.

The vets' conjecture is that Baffert took a chance that the unpredictable and unreliable nature of the drug used would not rear its ugly head before the race and hopefully go undetected in the post-race analysis. They say that even if the withdrawal time is closely adhered to and even if a few extra days are tacked on, betamethasone reacts differently in every horse based on the make-up of its bodily systems. In other words, the recommended withdrawal times are best guesses and not carved in stone.

So, these vets believe, Baffert may have just taken a shot.

Or Baffert, in his arrogance, may have figured that even if a trace showed up it just might be ignored, because after all it was the Derby, and popular myth says that anything goes in the Derby.

Arrogance in the case of Baffert is completely understandable. Why wouldn't he be arrogant? He keeps getting in trouble and he keeps escaping unscathed. When this happens time after time after time after time, the escapee tends to become a bit unwary of possible pitfalls that might stand in his way. He becomes emboldened.

Within days after Baffert had basically skated from his two lidocaine positives in Arkansas, an emboldened Baffert (opined the experts) may have had betamethasone injected into a joint of Medina Spirit.

If Baffert, or Baffert at his direction to his vet, did in fact order the injection, he took a risk not just for himself and the horse's owner, but this time for the well being of the entire Thoroughbred industry. Now that would be total arrogance, because today there is not a major news outlet that did not cover Baffert's Derby positive in the shot heard 'round the world.

The arrogance required for such an act can come from one who feels that the rules do not apply to him.

Seemingly forever in Thoroughbred racing the phrase “nobody is bigger than the game” has been axiomatic. Well, I humbly submit to the readers that Baffert not only thinks he is bigger than the game, the ruling in Arkansas more of less proved it to be true.

Now, all of a sudden, seemingly out of the blue, Churchill Downs racetrack—an outfit known forever as an entity that would do and say anything to protect the sanctity and history of The Derby — has stepped up and closed its entry box to Bob Baffert until the current mess can be straightened out.

As excited as I am about the impending seating of the board and standing committees of the Horseracing Integrity and Safety Authority in advance of getting it up and running next summer, this advent of Churchill Downs taking responsibility in the aftermath of the Derby positive is just as riveting and exciting. I for one look forward to following the Baffert positive in the days, weeks, months and, likely, years to come, as Baffert will no doubt once again fail to take responsibility for his own actions and place the entire industry in peril.

Barry Irwin is the founder and CEO of Team Valor International

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